Individual
MR. RICHARD ALLEN SCROGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
14277 ROAD 28, MADERA, CA 93638-5715
(559) 673-3508
Mailing address
1312 DE CESARI AVE, MADERA, CA 93637-3026
(559) 674-9259
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 25729
CA
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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